Breech presentation at a district level hospital in South Africa

Moodley, Jagidesa; Sm, Khedun; Devjee, Jaymala

doi:10.1080/20786204.2010.10873938

Cited by 3 publications

(4 citation statements)

References 20 publications

(19 reference statements)

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“…The incidence of breech delivery was 2.92% comparable to the incidences found by Gilbert et al and Moodley et al which were 3% and 2.4% respectively. 4,5 In the present study, the maximum incidence of breech was seen in the age group between 26 -30 years which was 37.64% which correlated with the study by Han et al in Singapore showing an incidence of 36.2% in the same age group. 6 The incidence of complete breech in our study was 36.07%, extended breech was 54.52%, and footling breech was 9.11% which was comparable with the Term Breech Trial.…”

Section: Discussionsupporting

confidence: 90%

“…4,9 The maternal complication rate in our study was 5.8% which correlated with the study by Rauf et al, with a complication rate of 6% and by Moodley et al, with the rate of 4.72%. 5,10 In the Term Breech Trial, there was not much difference in the maternal morbidity between the two groups of planned vaginal delivery versus planned cesarean section (3.2% v/s 3.9%). 2 This observation tilted the guidelines in favour of elective cesarean section as the mode of delivery.…”

Section: Discussionmentioning

confidence: 97%

“…The studies by Alarab et al, Moodley et al and Han et al have lower vaginal delivery rates compared to our study. [5][6][7] Our hospital being a tertiary referral center, there are many breech presentation cases brought in active labour, who cannot be immediately taken for cesarean. 10.16% of primigravidae delivered vaginally whereas as 89.84% underwent cesarean section.…”

Section: Discussionmentioning

confidence: 99%

“…Later studies by Moodley et al, Han et al and Rauf et al concluded that the maternal complications were more in cesarean delivery when compared to vaginal delivery which correlates well with the present study (Table 8). 5,6,10…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Mode of delivery and outcome of breech presentation: a prospective observational study in a tertiary centre

Karning

Bhanu

Sarojini

2017

Int J Reprod Contracept Obstet Gynecol

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Background: Breech presentation is the commonest malpresentation with the incidence of 3-4% at term. This study was done with the objective of studying the mode of delivery in breech presentation and to compare the maternal and fetal outcome in patients delivered vaginally to those delivered by cesarean section.Methods: This prospective observational study was conducted in Vanivilas Hospital, affiliated to Bangalore Medical College and Research Institute, from June 2014 to May 2015. The study group included 509 patients with breech presentation who were studied with respect to their gestational age, birth weight, type of breech, mode of delivery, maternal and perinatal outcome.Results: The incidence of breech presentation was 2.92% (509) among 17454 total deliveries with the incidence of 3.17% in primi and 2.73% in multies. 193 (38%) patients had vaginal breech delivery and 316 (62%) delivered by LSCS. Apgar score of less than 7 at 1 minute was seen with 21.42% of vaginally delivered fetuses and 9.09% of fetuses delivered by cesarean section. The perinatal mortality was 1.6% (8 cases) in vaginal group 0.8% (4 cases) in LSCS group. The short term maternal complications in LSCS group was 7.62% and in vaginal delivery group was 3.09%.Conclusions: The short term maternal morbidity is higher in patients with cesarean section compared to those with vaginal breech delivery. Perinatal outcome is better in babies delivered by cesarean section. Still vaginal breech delivery can be an option for breech babies with proper selection and when conducted by a skilled obstetrician.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Mode of delivery and outcome of breech presentation: a prospective observational study in a tertiary centre

Karning

Bhanu

Sarojini

2017

Int J Reprod Contracept Obstet Gynecol

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Neonatal Outcome of Term Breech Births: A 15-Year Review at the Yaoundé General Hospital, Cameroon

Ngowa¹,

Kasia²,

Ekotarh³

et al. 2012

Clinics in Mother and Child Health

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Assessment Of Perinatal Outcome Of Breech Presentation At A Tertiary Care Hospital, Quetta

Bibi¹,

Gul²,

Bukhsh³

et al. 2019

J. Bahria Uni. Med. Dent. Coll.

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Objective: To review the mode of delivery and perinatal outcome in breech presentation in a tertiary care hospital. Study Design and Setting: Retrospective Analytical Study. Department of Obstetrics and Gynecology Unit-4, Bolan Medical Complex Hospital, Quetta, from 1st January 2012 to 31st December, 2016. Methodology: This retrospective analytical study included review of clinical records of all patients who delivered either vaginally or via caesarean section with breech presentation. Results: During the study period, 806 patients presented with breech (2.4%). Vaginal breech delivery was carried out in 71.8% patients and caesarean section was done in 28.2% patients. In vaginal breech group 30.7% patients were primigravida and 69.3% patients were multigravida. In caesarean section group 50.3% patients were primigravida and 49.7% were multigravida. Most common birth weight was between 2.5-3.5 kg in both group. Most common indication for cesarean section was breech with previous one LSCS. Conclusion: Like all vaginal births, vaginal breech delivery is not only beneficial in the chance of having a vaginal birth in future but also prevents from the complications of caesarean delivery.

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Breech presentation at a district level hospital in South Africa

Cited by 3 publications

References 20 publications

Mode of delivery and outcome of breech presentation: a prospective observational study in a tertiary centre

Mode of delivery and outcome of breech presentation: a prospective observational study in a tertiary centre

Neonatal Outcome of Term Breech Births: A 15-Year Review at the Yaoundé General Hospital, Cameroon

Assessment Of Perinatal Outcome Of Breech Presentation At A Tertiary Care Hospital, Quetta

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